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JOURNAL ARTICLE
Dominika Borselle, Konrad Grochowski, Sylwester Gerus, Krzysztof Międzybrodzki, Krzysztof Kołtowski, Aleksandra Jasińska, Andrzej Kamiński, Dariusz Patkowski
INTRODUCTION: Thoracic musculoskeletal deformities are significant complications following open correction of esophageal atresia (EA) during long-term follow-up. We aimed to compare the frequency and severity of thoracic musculoskeletal deformities after open and thoracoscopic repair of EA. We hypothesized that fewer deformities would occur following the less invasive thoracoscopic approach. METHODS: This retrospective study analyzed patients treated at two pediatric surgery departments in Poland between 2005 and 2021...
March 16, 2024: Journal of Pediatric Surgery
#2
JOURNAL ARTICLE
Dingding Wang, Yong Zhao, Yanan Zhang, Kaiyun Hua, Yichao Gu, Shuangshuang Li, Junmin Liao, Shen Yang, Ting Yang, Jiawei Zhao, Jinshi Huang
IMPORTANCE: Type D esophageal atresia (EA) with tracheoesophageal fistula (TEF) is characterized by EA with both proximal and distal TEFs. It is a rare congenital anomaly with a very low incidence. OBJECTIVE: To investigate diagnostic and treatment strategies for this rare condition. METHODS: We retrospectively reviewed the clinicopathological features of patients with EA/TEF treated at our institution between January 2007 and September 2021...
March 2024: Pediatric Investigation
#3
Hatim Jabri, Othmane Alaoui, Abdelhalim Mahmoudi, Khalid Khatalla, Youssef Bouabdallah
Penetrating chest trauma in children is an uncommon condition. Patients may be asymptomatic or in a critical state. Visceral and vascular damage are frequently present when penetrating objects enter the thoracic cavity. Although many studies have discussed penetrating thoracic trauma in adults, very few deal with the pediatric population. Here, we present the case of a 13-year-old child with an intrathoracic metallic bar after penetrating chest trauma. The clinical examination showed a stable patient with a palpable bar and subcutaneous emphysema in the left axillary area...
February 2024: Curēus
#4
JOURNAL ARTICLE
Nicholas Schmoke, Chloe Porigow, Yeu Sanz Wu, Matthew Alexander, Alexander V Chalphin, Steven Rothenberg, Vincent Duron
Background: Bronchogenic cysts result from a congenital anomalous budding of the tracheobronchial tree. Resection is usually recommended to avoid complications. Mediastinal bronchogenic cysts present a unique challenge due to their proximity to vital structures. The purpose of this study is to review our experience with mediastinal bronchogenic cysts. Methods: A single-institution retrospective review evaluated all mediastinal bronchogenic cyst excisions between January 2012 and November 2022. Patient demographics were assessed, including age at diagnosis, presenting symptoms, imaging workup, and cyst characteristics...
February 14, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
#5
JOURNAL ARTICLE
Luca Pio, Valerio Gentilino, Francesco Macchini, Alberto Attilio Scarpa, Roberto Lo Piccolo, Andrea Conforti, Alberto Ratta, Riccardo Guanà, Francesco Molinaro, Sara Costanzo, Giovanna Riccipetitoni, Gabriele Lisi, Paola Midrio, Francesca Tocchioni, Giovannii Cobellis, Andrea Volpe, Elisa Zolpi, Anna Morandi, Enrico Ciardini, Claudio Vella, Maria Giovanna Grella, Maria Sergio, Edoardo Guida, Lorenzo Nanni, Silvia Ceccanti, Vincenzo Di Benedetto, Maurizio Cheli, Alfredo Garzi, Maria Nobili, Valeria Gabriele, Giovanni Boroni, Filippo Incerti, Nicola Zampieri, Sebastiano Cacciaguerra, Pier Luca Ceccarelli, Maria Escolino, Vito Briganti, Davide Gori, Ciro Esposito, Piergiorgio Gamba, Fabrizio Gennari, Alessandro Inserra, Patrizia Dall'Igna, Carmelo Romeo, Pietro Bagolan, Cosimo Bleve, Fabio Chiarenza, Francesco Morini, Gloria Pelizzo, Michele Torre
INTRODUCTION: Over the years, congenital lung malformations (CLM) management remains a controversial topic in pediatric thoracic surgery. The Italian Society of Pediatric Surgery performed a national survey to study the current management variability among centers, trying to define national guidelines and a standardized approach of children with congenital lung malformations. METHODS: Following a National Society approval, an electronic survey including 35 items on post-natal management was designed, focusing on surgical, anesthesiology, radiology and pneumology aspects...
February 10, 2024: Pediatric Surgery International
#6
REVIEW
J Mazenq, J-C Dubus
INTRODUCTION: Due to the absence of consensual definition and agreed-upon pediatric treatment, pneumothorax (PNO) in children and adolescents often remains difficult to properly apprehend. STATE OF THE ART: While initial diagnostic suspicion is clinical, confirmation necessitates chest imaging, and lung ultrasound has become increasingly prevalent, often at the expense of chest radiography. The goal of treatment is twofold, on the one hand to a fully re-expand the lungs, and on the other hand to forestall PNO recurrence...
February 2024: Revue des Maladies Respiratoires
#7
JOURNAL ARTICLE
Mohamed Ali Shehata, Mohamed Ahmed Negm, Mohamed Mahmoud Shalaby, Mohamed Awad Mansour, Ahmed Abdelmhaimen Elhaddad
BACKGROUND: Intracorporeal suturing knots continue to be one of the most challenging and time-consuming steps in the thoracoscopic repair of congenital diaphragmatic hernia (CDH). Barbed unidirectional knotless sutures are designed to shorten surgical procedures by eliminating the need to tie knots. This work aimed to compare unidirectional barbed sutures and interrupted intracorporeal knots in the thoracoscopic repair of CDH in pediatrics regarding the time required to suture, operative time and complications...
2024: Frontiers in Pediatrics
#8
JOURNAL ARTICLE
Nadine R Muensterer, Elena Weigl, Anne-Sophie Holler, Christiane Zeller, Beate Häberle, Oliver J Muensterer
BACKGROUND: Congenital diaphragmatic hernia (CDH) repair can be challenging, particularly when a larger defect is present. Barbed sutures prevent the suture from slipping back after approximation of the tissues. Although introduced almost 2 decades ago, barbed sutures have not been widely used for CDH repair. We report our initial experience and pitfalls. METHODS: All patients presenting with CDH from 2021 onward underwent repair using barbed sutures. Demographics, operative parameters, complications, and outcomes were prospectively recorded...
December 28, 2023: Children
#9
JOURNAL ARTICLE
Gijsbert Musters, Sjoerd de Beer, Joost van Schuppen, Justin de Jong, Ramon Gorter, Matthijs Oomen
BACKGROUND: Congenital lung lesions in pediatric patients may be managed conservatively or by video assisted thoracoscopic surgery (VATS). This study aimed to determine the complications after VATS for congenital lung lesions in children. METHODS: All children undergoing a lung resection between January 2009 and June 2022 were retrospectively identified. Children undergoing a primary open lobectomy or a resection other than a congenital lung lesion were excluded...
December 21, 2023: Acta Chirurgica Belgica
#10
JOURNAL ARTICLE
Huixia Cao, Jinpeng Qiu, Yaoqin Hu, Wenfang Huang, Xiwang Liu, Haiyan Jin
BACKGROUND: To summarize the anesthesia management experience for pediatric day-case patent ductus arteriosus (PDA) ligation under robot-assisted thoracoscopy and explore the key points of anesthesia management for this procedure. METHODS: The clinical data of 72 pediatric patients who underwent robot-assisted thoracoscopic day-case PDA ligation at the Children's Hospital, Zhejiang University School of Medicine from April 2021 to February 2023 were retrospectively analyzed...
December 19, 2023: Journal of Cardiothoracic Surgery
#11
Kathryn M Kimsey, Grafton S Barnett, Christopher Keup, Johnny Nguyen, Michael J Wilsey, Charles J Smithers, Raquel González
A 2-year-old male with VACTERL association and asthma presented to the emergency room due to asthma exacerbation. Chest radiography revealed lingular pneumonia and thickening of the left paraspinal line of the gastroesophageal junction. Chest computed tomography confirmed a heterogeneous fluid- and gas-filled structure at the left posterior lateral posterolateral aspect of the esophagus, which was suspected to be an esophageal diverticulum on an upper gastrointestinal series. The esophageal diverticulum was excised via left thoracoscopy, and pathological examination revealed pancreatic tissue...
November 2023: JPGN reports
#12
JOURNAL ARTICLE
Jean François Lecompte, Sabine Sarnacki, Sabine Irtan, Christian Piolat, Aurélien Scalabre, Isabelle Talon, Julien Rod, Nicoleta Panait, Gregory Rodesch, Ana Lourdes Luis Huertas, Olivier Abbo, Martine Demarche, Edouard Habonimana, Quentin Ballouhey, Dominique Valteau-Couanet, Florent Guérin
OBJECTIVES: To assess the efficacy of thoracoscopy and the outcome for children with thoracic neurogenic tumors. METHODS: We performed a retrospective review of 15 European centers between 2000 and 2020 with patients who underwent thoracoscopy for a neurogenic mediastinal tumor. We assessed preoperative data, complications, and outcomes. Results were expressed with the median and range values. RESULTS: We identified 119 patients with a median age of 4 years old (3 months-17 years)...
November 18, 2023: Cancers
#13
JOURNAL ARTICLE
Steven Rothenberg, Kristin Shipman, Sarah Lai, Saundra Kay
OBJECTIVES: This study evaluates the safety and efficacy of thoracoscopic lobectomy for congenital lung lesions in infants less then 4 months of age. MATERIALS AND METHODS: From January 1997 to October 2022, 194 patients under 4 months of age and weight less then 5.6 Kg underwent video-assisted thoracoscopic lobe resection for CPAM, Sequestration, and CLE. All procedures were performed by or under the direct guidance of a single surgeon. RESULTS: 195 of 196 procedures were completed thoracoscopically...
March 2024: Journal of Pediatric Surgery
#14
JOURNAL ARTICLE
Przemyslaw Galazka, Dominika Skinder, Jan Styczynski
INTRODUCTION: Morbidity after thoracoscopic primary repair of esophageal atresia (EA) is still high in many centers. We retrospectively assessed the outcomes of a center-specific standardized approach in a group of newborns with EA that had been classified into one of two surgical management groups. METHODS: 38 consecutive newborns with EA (median birth weight: 2570 g, range: 1020-3880) were treated between 2013 and 2022. The patients were classified into one of two groups: one-stage or multi-stage approach...
October 26, 2023: Journal of Pediatric Surgery
#15
REVIEW
R Scott Eldredge, Katie W Russell
Extra Corporeal Membrane Oxygenation (ECMO) has historically been reserved for refractory pulmonary and cardiac support in children and adult. Operative intervention on ECMO was traditionally contraindicated due to hemorrhagic complications exacerbated by critical illness and anticoagulation needs. With advancements in ECMO circuitry and anticoagulation strategies operative procedures during ECMO have become feasible with minimal hemorrhagic risks. Here we review anticoagulation and operative intervention considerations in the pediatric population during ECMO cannulation...
August 2023: Seminars in Pediatric Surgery
#16
REVIEW
Mara Carsote, Mihaela Stanciu, Florina Ligia Popa, Ana-Maria Gheorghe, Adrian Ciuche, Claudiu Nistor
Our objective was to overview the most recent data on primary hyperparathyroidism (PHP) in children and teenagers from a multidisciplinary perspective. Methods: narrative review based on full-length, English-language papers (from PubMed, between January 2020 and July 2023). Results: 48 papers (14 studies of ≥10 subjects/study, and 34 case reports/series of <10 patients/study). Study-sample-based analysis: except for one case-control study, all of the studies were retrospective, representing both multicenter (n = 5) and single-center (n = 7) studies, and cohort sizes varied from small (N = 10 to 19), to medium-sized (N = 23 to 36) and large (N = 63 to 83); in total, the reviewed studies covered 493 individuals with PHP...
October 17, 2023: Biomedicines
#17
JOURNAL ARTICLE
Nikhil R Shah, Cory N Criss, Keerthi Burgi, Niki Matusko, James D Geiger, Erin E Perrone, George B Mychaliska, Matthew W Ralls
INTRODUCTION: Thoracoscopic CDH repair is increasingly performed for Type A and small Type B defects that are amenable to primary repair. However, the thoracoscopic approach is controversial for larger defects necessitating a patch due to technical complexity, intraoperative acidosis, and recurrence risk. We aim to compare clinical outcomes between thoracoscopic and open patch repair of Type B/C defects, using a standardized technique. METHODS: This is a single-center retrospective review of thoracoscopic and open CDH patch repairs January 2017-December 2021...
September 29, 2023: Journal of Pediatric Surgery
#18
JOURNAL ARTICLE
Gaurav Prasad, Apoorv Singh, Deepika Kainth, Puneet Khanna, Sachit Anand
Background: Ventilating a pediatric patient during thoracoscopy is challenging. Few studies have highlighted the impact of capnothorax in children by measuring regional cerebral oxygen saturation (rcSO2 ) with near infrared spectroscopy. In this systematic review, we aimed to summarize the data from relevant studies and assess whether thoracoscopy in children is associated with intraoperative pathological cerebral desaturation. Methods: The authors systematically searched four databases for relevant studies on the measurement of rcSO2 during pediatric thoracoscopic procedures...
October 20, 2023: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
#19
REVIEW
Cuizhu Feng, Long Li, Yanxia Zhang, Yong Zhao, Jinshi Huang
This study was performed to describe the current clinical practice and outcomes of type D esophageal atresia. We retrospectively analyzed 10 patients who were diagnosed with type D esophageal atresia and underwent esophageal atresia and tracheoesophageal fistula repair in the Capital Institute of Pediatrics and Beijing Children's Hospital from January 2017 to May 2022. Ten patients include three newborns and seven non-newborns. Seven (70%) cases were misdiagnosed as type C esophageal atresia before the first operation...
October 10, 2023: Pediatric Surgery International
#20
Contrast Media Molecular Imaging
[This retracts the article DOI: 10.1155/2022/8230212.].
2023: Contrast Media & Molecular Imaging
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